First Module


  • 1a History
    Blow enemas, Gravity enemas, Egyptian evidence, Bulb enemas, Microenemas; Essene text.; Kellog, Tilden, Sister Allen, D'Anne Coburn, Milo Siewert, Woods, Dotolo, Aquazone, Transcom systems.
  • 1b Philosophy
    Auto-toxicity and intestinal toxicity theories- Arbuthnot, Kellog, etc.; Naturopathic view of elimination; Modern view and evidence.
  • 1c Controversies
    Bowel perforation risk; Electrolyte disturbance; Water pressure; Blood pressure risks; Bowel flora risks.


  • 2a Anatomy
    Terminology; Overview of organs of elimination and functions. Waste products.
    Whole of gastro-intestinal system anatomy and structure:
    Abdominal anatomy - gut, liver, kidneys, spleen, ovaries, uterus, fallopian tubes, prostate. Pouch of Douglas ; Abdominal musculature; Blood vascular system; hepatic portal system; Lymphatics.
    Detailed anatomy of the colon: ICV, caecum, ascending, transverse, descending, sigmoid, rectum, rectal valve, anus. Haemorrhoidal plexus, anal sphincters.
  • 2b Physiology
    Autonomic nerves: Para- and sympathetic pathways, influence on organs wrt. bowel and gut.
    Mesenteric nerves - functions; Hormonal & neurological influence on nerves and peristalsis.
    Nitrous oxide and nitrous oxide synthase; Neurological reflexes: ortho-colic, gastro-colic and others.
    Motility: How the bowel moves, 24 hour motility traces; Brief introduction to motility abnormalities (hyper and hypo); introduction to radiological interpretation of X-rays and CT scans; Functions of the colon.
  • 2c Tests
    Blood pressure; Abdominal palpation; Auscultation; Percussion; Digital rectal exams.
    Laboratory tests: Stool tests for digestion, parasites, etc. plus interpretation.


  • 3a Organic Diseases of the Colon
    Aetiology and symptoms of; Inflammatory diseases: Ulcerative colitis, Crohn's disease.
    Appendicitis; Diverticulosis/itis; Fissures; Haemorrhoids; CA colo-rectal
    Conventional diagnostic methods of above, and orthodox treatments.
    Complementary treatment protocols for above, incl. colonics.
  • 3b Functional Conditions of the Colon
    IBS; Constipation; ICV problems; Adhesions; Hernia
    Diagnosis, symptoms, and orthodox/complementary treatment of the above.
  • 3c Discussion on causation of the above
  • 3d Stool types
    Bristol chart; Significance of colour, texture and form.


  • 4a Indications
    IBS; Constipation; Bowel cleansing & fasting; secondary conditions.
  • 4b Absolute contra-indications
    Elevated B.P.; Malignancy; Inflammation; etc.
  • 4c Relative contra-indication
    Pregnancy; etc.
  • 4d Spiritual & Emotional
  • 4e Special precautions for treating children


  • 5a Water filtration
    what can be removed, importance of, suppliers
  • 5b Gravity systems
    room layout, diagrams, water heating, plumbing, resources
  • 5c Machines
    suppliers, room layout, plumbing
  • 5d Diagram of treatment room set-up


  • 6a The importance of adequate disinfection and sterilisation of re-usable equipment
    Recommended sterilants, their use and procedure; Autoclaves; The importance of removing macroscopic debris; Soaking times; Tubing; ARCH recommendations.
  • 6b Disinfection of machines
    (Refer to suppliers handbooks)
  • 6c Sanitation
    Cleaning of therapy room, washroom facilities, gowns, towels, etc.


  • 7a Booking and reception
  • 7b Case history taking - uniform case history form; detailed discussion on main points; provision of uniform case history forms
  • 7c Referrals from other practitioners - Protocol. Reporting
  • 7d Practitioner dress and manner
  • 7e Draping
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